| NPI | 1861745051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC009005) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH 10152) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2025-04-30 |